scholarly journals Jacques-Louis Reverdin - pioneer of transplantology, a surgeon who opened the veil of functional importance of the thyroid gland

2021 ◽  
Vol 17 (3) ◽  
pp. 32-34
Author(s):  
A. A. Komissarova

 Jacques-Louis Reverdin is a famous Swiss surgeon, scientist, and entomologist of the nineteenth century. He made a considerable contribution to the development of transplantology — he was one of the first to publish work on allotransplantation, performing the so — called “skin grafting”, urology — he defended his thesis on urethrotomy, endocrinology- he performed surgical operations for the treatment of goiter, observed and described the symptoms of iatrogenic hypothyroidism, introduced the concept of postoperative myxedema. For thirty-four years, he led an active surgical practice, thanks to which he described a large number of operations (the most famous are operations on the thyroid gland), introduced a surgical suture and needle, which are still used today. During the Franco-Prussian war, he commanded a Swiss ambulance. He was a proponent of Lister’s method of asepsis and antiseptics, and introduced it in hospitals in Geneva. He was engaged in teaching and research, and was nominated for the Nobel prize three times. He received the Amuss prize of the Academy of Medicine, the prize of the Paris Academy of medicine for his work on urethrotomy, founded the Revue Medicale de la Suisse Romande, and was a co-founder and later President of the Association of physicians of Geneva. Honorary member of the entomological societies of Switzerland, France, England and Brazil.

2020 ◽  
Vol 86 (7) ◽  
pp. 762-765
Author(s):  
Steven D. Wexner ◽  
David B. Hoyt ◽  
Delia Cortés-Guiral

The response of the American College of Surgeons (ACS) to the COVID-19 pandemic was vigorous and effective because it had mature programs in surgical quality and health policy and advocacy, the legacy of decades of work by its officers and leaders and its current executive director, David Hoyt. Hoyt had the foresight to institute a digital communications platform upon which the College collected data for its clinical programs and conducted many of its meetings. Through internet portals, online communities, and social media it broadcasted news and information to the membership. When the global COVID-19 pandemic struck, the College was able to quickly mobilize its leaders and scientific experts to disseminate credible information, recommend protocols to maintain patient and provider safety in operating room environments, provide a rational scheme of prioritization of urgent surgical operations, and a sensible means of resumption of normal surgical practice. As the financial impact of the outbreak on surgical practice became apparent, the ACS represented the interests of surgeons in the White House, Capitol, federal agencies, and governors’ mansions and statehouses. In an interview by Steven Wexner, a member of the ACS Board of Regents, Hoyt described the response of the ACS to an unprecedented threat to the surgical care of patients in the country and the world. His story demonstrates the legacy of credibility and professionalism built by decades of principled leadership of generations of officers and Regents of the College, and his own example of effective leadership in crisis.


2021 ◽  
pp. 647-668
Author(s):  
Brian Chen ◽  
Simon Davis ◽  
Fynn Maguire

This chapter discusses the anaesthetic management of plastic and burns surgery. It begins with general principles of the anaesthetic management of plastic surgical patients. Surgical procedures covered include breast augmentation, reconstruction and reduction surgery; free flap surgery; liposuction; skin grafting and burns reconstructive surgery. The chapter includes pertinent anaesthetic features for a series of additional miscellaneous plastic surgical operations.


Author(s):  
John Rowe

Among the immigrant groups which made a considerable contribution to the development of the United States and of the American way of life the Cornish people must be reckoned. Older accounts of the mining, camps of the Pacific Coast actually enumerate the “Cornish nationality” among the races that thronged to the gold and silver diggings. Yet, throughout the nineteenth century, British, census returns reveal that there were rarely more than a third of a million Cornish folk in the “old country”, and after 1861 their numbers declined. Yet this people impressed themselves upon the American scene, even on some of its most superficial observers, and this for a variety of reasons, apart from the local provincialisms created by geographic remoteness and physical difficulties of communication in the homeland until well into the “railway age”.


Author(s):  
Jonathan Warwick

This chapter discusses the anaesthetic management of plastic surgery. It begins with general principles of the anaesthetic management of plastic surgical patients. Surgical procedures covered include breast augmentation, reconstruction, and reduction surgery, correction of prominent ears, facelift (rhytidectomy), free-flap surgery, liposuction, and skin grafting. The chapter concludes with a series of vignettes of minor plastic surgical operations.


2020 ◽  
Vol 10 (3) ◽  
pp. 731-735
Author(s):  
Peng An ◽  
Yingjian Ye ◽  
Yuxin Ning ◽  
Wei Feng ◽  
Yang Li ◽  
...  

Objective: This study aimed to investigate the value of elastic strain rate ratio (SR) in the differential diagnosis of benign and malignant thyroid imaging reporting and data system (TI-RADS) 4 nodules under the influence of various factors. Method: This study included 180 patients with type 4 unifocal thyroid nodules diagnosed by ultrasound examination in the Xiangyang No. 1 People's Hospital from March 2016 to March 2019. All patients underwent elasticity imaging and surgical operations. The pathological results were used as the gold standard to perform logistic regression analyses and identify the factors influencing the differential diagnosis of benign and malignant thyroid nodules. Then, the receiver operating characteristic (ROC) curve was drawn. Results: The ROC curve suggested a cutoff value of 0.52 in differentiating between benign and malignant TI-RADS 4 nodules using the SR value. The nodule size, calcification, border, and thyroid gland with diffuse lesions were factors influencing the differential diagnosis of benign and malignant TI-RADS 4 nodules with the SR value. SR had a high accuracy identifying benign and malignant TI-RADS 4 nodules with a diameter of less than 0.8 cm (but >0.4 cm), no or granular calcification, nodules with blurred borders, and no thyroid gland with diffuse lesions. Conclusion: The diagnostic accuracy was improved by combining the two-dimensional ultrasound with SR determination in the differential diagnosis of benign or malignant TI-RADS 4 nodules.


1901 ◽  
Vol 47 (199) ◽  
pp. 708-721
Author(s):  
W. R. Dawson

Of the innumerable organs and tissues which have been made the subject of research since Brown-Séquard promulgated his doctrine of “internal secretions,” it may be broadly stated that there are practically two only in which the existence of such a specific secretion has been determined beyond controversy, viz., the thyroid gland and the suprarenal bodies. The place of the former in therapeutics is now more or less determined; at all events most have tried it and formed their own conclusions; but the uses of the suprarenal glands in treatment are still, to a large extent, undecided. It is true that in certain branches of surgical practice suprarenal extract has been found so useful as a local application that it may almost be said to have gained a position in the surgeon's regular armamentarium, and that it has been employed internally in Addison's disease by many observers, with somewhat conflicting results (1); while its use in cases of heart failure, and also in obstetrics, has recently been strongly urged (2). But beyond these more obvious applications of the properties of its active principle, there are certain other diseases, notably some forms of psychoses, in which it would seem probable that those properties might render it valuable, and what little use has been made of it in this direction to some extent bears out this expectation.


2021 ◽  
pp. 139-157
Author(s):  
Olaf Krysowski

Franciszek Ksawery Bohusz (1746–1820) was a philosopher, theologist, Jesuit, political activist, participant of the Kościuszko Uprising, member of the Warsaw Society of Friends of Science, honorary member of the Vilnius University, translator and publisher of the Napoleon Code, who was also the author of the thesis On the Origins of the Lithuanian Nation and Language (1808). The thesis was written in an effort to save from forgetting the traditions of the people whose language, as the author noted, gradually “diminished” and “faded” at the beginning of the nineteenth century, being crowded out by Polish which was used in various areas of everyday life. Bohusz’s work turned out to be a significant voice, a testament which raised interest of many Lithuanian culture researchers. It contributed to the longterm study of the history of the Lithuanian nation and language by numerous Vilnius University professors and students.


2021 ◽  
Vol 16 (1) ◽  
pp. 19-24
Author(s):  
V.V. BOYKO ◽  
◽  
K.Y. PARKHOMENKO ◽  
O.E. FESKOV ◽  
A.Y. GAVRIKOV ◽  
...  

The growing spread of combined pathology, especially among the elderly and geriatric population, requires updating of approaches to diagnosis and treatment. In particular, surgical practice has encountered high incidences of combined diseases, requiring operative treatment, in patients with variously localized hernias. In such cases the standard common approach is to treat in stages gradually eliminating certain diseases. But so far, there has been evidence of effective concurrent treatment of combined surgical pathology by conducting simultaneous operations. This review presents the studies of the direct results of simultaneous operations during variously localized hernia plastic repair in combination with other abdominal surgical pathology.


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